When is the submission deadline?

Submissions are due August 19, 2026. Questions must be submitted by July 22, 2026.

What is the budget for this RFP?

The published budget is $4,250,000 – $5,000,000.

It was issued by County Of San Diego. The work is located in San Diego, California, United States.

Who is a good fit for this opportunity?

Healthcare reimbursement consulting firm with deep Medi-Cal billing expertise. Experience supporting behavioral health, mental health, and substance use disorder programs. Proven background in county or public-sector healthcare consulting. Ability to develop billing policies, procedures, training materials, and technical guidance. Strong knowledge of state and federal Medicaid regulations and compliance requirements. Demonstrated success in maximizing reimbursement and improving audit readiness. Capacity to provide ongoing advisory support and continuous process improvement over a one-year term.

Medi-Cal Billing Consulting Services (Due August 19, 2026)

Overview

Management Consulting & Admin Support

San Diego, California, United StatesPosted: July 9th, 2026Deadline: August 19th, 2026

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SUMMARY

The county seeks a consulting firm to improve Medi-Cal billing performance for behavioral health programs, including mental health and substance use disorder services. Work includes best-practice development, training, technical assistance, reimbursement optimization, and ongoing compliance-focused improvement.

KEY REQUIREMENTS

Must have experience in Medi-Cal billing consulting services
Must submit a Small-Local Business Subcontractor Utilization Plan
Must have an accounting system for segregating and accounting of all funds
Must have sufficient reserves to maintain the program for sixty days
Must provide a project workplan within 30 business days from contract execution
Must assign a Project Manager as the single point of contact
Must provide coder approved training, technical assistance, and materials
Must comply with California Revenue and Taxation Code Section 18662
Must provide a minimum of three business references for relevant similar projects within the past five years

BUDGET

Verified

$4,250,000 – $5,000,000

CONTRACT DURATION

60 months

TIMELINE

Pre-Proposal Conference: July 14th, 2026

Questions due: July 22nd, 2026

Proposals due: August 19th, 2026

QUESTION DEADLINE

July 22nd, 2026

CONTACTS

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

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Issuing Agency

County Of San Diego

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DESCRIPTION

The county is seeking a vendor to provide Medi-Cal billing consulting services focused on specialty Mental Health and Substance Use Disorder programs. The selected contractor will support optimization of the county’s Medi-Cal billing system and help maximize reimbursement opportunities across county-operated and contracted behavioral health programs.

Scope of work includes developing standardized best practices, training materials, tools, technical assistance, and documented policies and procedures to improve the accuracy and maximization of Medi-Cal behavioral health billing. These materials must be updated as needed, at least quarterly, to remain aligned with changes in state and federal regulations. The contractor will also develop recommended strategies for optimizing billing across various payer sources.

Additional responsibilities include providing ad hoc support related to billing improvement and implementing an effective monitoring and continuous improvement process for all tools, guidance, technical assistance, and strategies. The intent is to strengthen compliance, audit readiness, operational efficiency, and effective use of local resources. A pre-bid conference is scheduled for July 14, 2026, questions are due by July 22, 2026, and the anticipated contract term is one year.

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Frequently asked questions

When is the submission deadline?: Submissions are due August 19, 2026. Questions must be submitted by July 22, 2026.
What is the budget for this RFP?: The published budget is $4,250,000 – $5,000,000.
Who issued this RFP?: It was issued by County Of San Diego. The work is located in San Diego, California, United States.
Who is a good fit for this opportunity?: Healthcare reimbursement consulting firm with deep Medi-Cal billing expertise
Experience supporting behavioral health, mental health, and substance use disorder programs
Proven background in county or public-sector healthcare consulting
Ability to develop billing policies, procedures, training materials, and technical guidance
Strong knowledge of state and federal Medicaid regulations and compliance requirements
Demonstrated success in maximizing reimbursement and improving audit readiness
Capacity to provide ongoing advisory support and continuous process improvement over a one-year term

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